Prior Authorization Services
At AllStars Medical Billing, we understand that prior authorization (PA) is one of the most time-consuming and error-prone tasks in healthcare administration. Delays or missteps in the PA process can disrupt patient care and negatively affect your cash flow. That’s why our dedicated Prior Authorization Services are designed to take this burden off your staff — streamlining approvals, reducing denials, and allowing your team to focus on delivering exceptional patient care.
What Is Prior Authorization?
Prior authorization is a process used by insurance companies to determine if they will cover a prescribed procedure, service, or medication. Without it, claims can be denied — even if the service was medically necessary. Our job is to ensure that doesn’t happen.
AllStars Prior Authorization Process Includes:
Verification of Requirements
We identify whether prior authorization is needed based on the patient’s insurance plan and the requested procedure or medication.
Document Collection and Review
We gather all necessary clinical documentation from your team, ensuring everything required for approval is accurate and complete.
Submission to Payer
Our team submits authorization requests directly to the insurance payer, following specific plan requirements and payer portals.
Real-Time Follow-Ups
We actively monitor the status of submitted requests and follow up regularly until a determination is received.
Status Updates to Your Team
Approval, denial, or request for additional information — we keep your practice informed at every step, in real time.
Our Expertise Covers:
- Surgeries and diagnostic procedures
- Imaging (MRI, CT, PET scans, etc.)
- Behavioral health and psychiatry services
- Specialty medications
- DME (Durable Medical Equipment)
- Home health, hospice, and rehabilitation services
- Out-of-network and in-network approvals
Accurate. Fast. Compliant.
Our team is trained in payer-specific requirements, and we utilize advanced software to reduce human error, ensuring compliance and quick turnaround. We work with all major commercial insurances, Medicare, Medicaid, and specialty plans.
Let Us Handle the Approvals
Take the complexity out of prior authorizations. Let AllStars Medical Billing handle it with precision and speed, so you never miss a beat — or a payment.
Why Choose AllStars for Prior Authorization?
- Faster turnaround time for approvals
- Fewer denials and delays
- Reduced administrative burden on your staff
- Improved patient satisfaction
- More time for clinical focus
- Seamless integration with our billing and VOB services
End-to-End Revenue Cycle Support
Our Prior Authorization Services are fully integrated into AllStars’ complete medical billing solution, which includes:
- Insurance Verification of Benefits (VOB)
- Medical Coding & Claims Submission
- Appeals & Denial Management
- Provider Credentialing & Contracting